Displaying 193411-193420 of 1611142 results.
ID:
193411
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193412
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193413
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193414
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193415
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193416
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193417
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193418
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193419
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193420
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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